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Author: Elizabeth H. BradleyPublisher: PublicAffairsISBN: 1610392108Format: PDF, KindleDownload Now
Foreword by Harvey V. Fineberg, President of the Institute of Medicine For decades, experts have puzzled over why the US spends more on health care but suffers poorer outcomes than other industrialized nations. Now Elizabeth H. Bradley and Lauren A. Taylor marshal extensive research, including a comparative study of health care data from thirty countries, and get to the root of this paradox: We've left out of our tally the most impactful expenditures countries make to improve the health of their populations-investments in social services. In The American Health Care Paradox, Bradley and Taylor illuminate how narrow definitions of "health care," archaic divisions in the distribution of health and social services, and our allergy to government programs combine to create needless suffering in individual lives, even as health care spending continues to soar. They show us how and why the US health care "system" developed as it did; examine the constraints on, and possibilities for, reform; and profile inspiring new initiatives from around the world. Offering a unique and clarifying perspective on the problems the Affordable Care Act won't solve, this book also points a new way forward.

Author: Elizabeth H. BradleyPublisher: Hachette UKISBN: 1610392108Format: PDF, ePubDownload Now
Foreword by Harvey V. Fineberg, President of the Institute of Medicine For decades, experts have puzzled over why the US spends more on health care but suffers poorer outcomes than other industrialized nations. Now Elizabeth H. Bradley and Lauren A. Taylor marshal extensive research, including a comparative study of health care data from thirty countries, and get to the root of this paradox: We've left out of our tally the most impactful expenditures countries make to improve the health of their populations-investments in social services. In The American Health Care Paradox, Bradley and Taylor illuminate how narrow definitions of "health care," archaic divisions in the distribution of health and social services, and our allergy to government programs combine to create needless suffering in individual lives, even as health care spending continues to soar. They show us how and why the US health care "system" developed as it did; examine the constraints on, and possibilities for, reform; and profile inspiring new initiatives from around the world. Offering a unique and clarifying perspective on the problems the Affordable Care Act won't solve, this book also points a new way forward.

Author: Elizabeth BradleyPublisher: Public AffairsISBN: 1610392094Format: PDF, ePub, MobiDownload Now
Considers why U.S. society is believed to be less healthy in spite of disproportionate spending on health care, identifying a lack of social services, outdated care allocations, and a resistance to government programs as the problem.

Author: Prabhjot SinghPublisher: JHU PressISBN: 1421420449Format: PDF, DocsDownload Now
Even as US spending on healthcare skyrockets, impoverished Americans continue to fall ill and die of preventable conditions. Although the majority of health outcomes are shaped by non-medical factors, public and private healthcare reform efforts have largely ignored the complex local circumstances that make it difficult for struggling men, women, and children to live healthier lives. In Dying and Living in the Neighborhood, Dr. Prabhjot Singh argues that we must look beyond the walls of the hospital and into the neighborhoods where patients live and die to address the troubling rise in chronic disease. Building on his training as a physician in Harlem, Dr. Singh draws from research in sociology and economics to look at how our healthcare systems are designed and how the development of technologies like the Internet enable us to rethink strategies for assembling healthier neighborhoods. In part I, Singh presents the story of Ray, a patient whose death illuminated how he had lived, his neighborhood context, and the forces that accelerated his decline. In part II, Singh introduces nationally recognized pioneers who are acting on the local level to build critical components of a neighborhood-based health system. In the process, he encounters a movement of people and organizations with similar visions of a porous, neighborhood-embedded healthcare system. Finally, in part III he explores how civic technologies may help forge a new set of relationships among healthcare, public health, and community development. Every rising public health leader, frontline clinician, and policymaker in the country should read this book to better understand how they can contribute to a more integrated and supportive healthcare system.

Author: Richard(Buz) CooperPublisher: JHU PressISBN: 1421420228Format: PDFDownload Now
In Poverty and the Myths of Health Care Reform, Dr. Richard (Buz) Cooper argues that US poverty and high health care spending are inextricably entwined. Our nation’s health care system bears a financial burden that is greater than in any other developed country in large part because impoverished patients use more health care, driving up costs across the board. Drawing on decades of research, Dr. Cooper illuminates the geographic patterns of poverty, wealth, and health care utilization that exist across neighborhoods, regions, and states—and between countries. He chronicles the historical threads that have led to such differences, examines the approaches that have been taken to combat poverty throughout US history, and analyzes the impact that structural changes now envisioned for clinical practice are likely to have. His research reveals that ignoring the impact of low income on health care utilization while blaming rising costs on waste, inefficiency, and unnecessary care has led policy makers to reshape clinical practice in ways that impede providers who care for the poor. The first book to address the fundamental nexus that binds poverty and income inequality to soaring health care utilization and spending, Poverty and the Myths of Health Care Reform is a must-read for medical professionals, public health scholars, politicians, and anyone concerned with the heavy burden of inequality on the health of Americans.

Author: Henry MintzbergPublisher: Berrett-Koehler PublishersISBN: 1626569061Format: PDF, ePub, MobiDownload Now
“Health care is not failing but succeeding, expensively, and we don't want to pay for it. So the administrations, public and private alike, intervene to cut costs, and herein lies the failure.” In this sure-to-be-controversial book, leading management thinker Henry Mintzberg turns his attention to reframing the management and organization of health care. The problem is not management per se but a form of remote-control management detached from the operations yet determined to control them. It reorganizes relentlessly, measures like mad, promotes a heroic form of leadership, favors competition where the need is for cooperation, and pretends that the calling of health care should be managed like a business. “Management in health care should be about dedicated and continuous care more than interventionist and episodic cures.” This professional form of organizing is the source of health care's great strength as well as its debilitating weakness. In its administration, as in its operations, it categorizes whatever it can to apply standardized practices whose results can be measured. When the categories fit, this works wonderfully well. The physician diagnoses appendicitis and operates; some administrator ticks the appropriate box and pays. But what happens when the fit fails—when patients fall outside the categories or across several categories or need to be treated as people beneath the categories or when the managers and professionals pass each other like ships in the night? To cope with all this, Mintzberg says that we need to reorganize our heads instead of our institutions. He discusses how we can think differently about systems and strategies, sectors and scale, measurement and management, leadership and organization, competition and collaboration. “Market control of health care is crass, state control is crude, professional control is closed. We need all three—in their place.” The overall message of Mintzberg's masterful analysis is that care, cure, control, and community have to work together, within health-care institutions and across them, to deliver quantity, quality, and equality simultaneously.

Author: Christy Ford ChapinPublisher: Cambridge University PressISBN: 110704488XFormat: PDFDownload Now
This book provides an in-depth evaluation of the U.S. health care system's development in the twentieth century. It shows how a unique economic design - the insurance company model - came to dominate health care, bringing with it high costs; corporate medicine; and fragmented, poorly distributed care.

Author: Dan MunroPublisher: BookBabyISBN: 1483565548Format: PDF, ePub, DocsDownload Now
Author Michael Lewis was recently interviewed by Steve Kroft on 60 Minutes and a quote from that interview was the inspiration and influence for Casino Healthcare. “If it wasn’t complicated, it wouldn’t be allowed to happen. The complexity disguises what’s happening. If it’s so complicated that you can’t understand it - then you can’t question it.” What he was referencing, of course, was high-speed trading on Wall Street, but the quote could just as easily be applied to healthcare. In fact, it's tailor-made. The statistics prove just how much of a casino the U.S. healthcare system has become. • As a country, we now spend over $10,000 per year - for each person - just on healthcare. • Measured as an economic unit, U.S. Healthcare is now the size of Germany. • Preventable medical errors are now the 3rd leading cause of death in the U.S. (behind cancer and heart disease). • Medical debt is the leading cause of personal bankruptcies in the U.S. • Hospital pricing is determined by a cabal – in secret – and beyond legal challenge. • The Pharmaceutical industry – with profit margins that often eclipse tech giants like Apple and Google – paid out a whopping $15 billion in fines over the last six years – just for off-label drug marketing. • American healthcare was recently ranked dead last when compared to 10 other countries. The system has become so complex and opaque that most Americans have simply given up on understanding how it works. Whole families are crushed in this casino trying to pay for unanticipated medical expenses, many of which are immediate, unavoidable and life threatening. The huge expense might be defensible if the system delivered exceptional quality, but it doesn't. When the World Health Organization last ranked health systems, the U.S. came in at #37 – just ahead of #38 (Slovenia) and behind #36 (Costa Rica). Casino Healthcare is not a theoretical policy book for the elite, but a book that penetrates the blanket of fog surrounding a major – and growing – household expense. With the research and style of an investigative journalist, the book is easy to understand and accessible by every American. The U.S. healthcare system was never designed from whole cloth with a strategic vision or intent, but instead it has evolved through the decades with a host of legislative "patches" and temporary fixes. The reason for this is simple. When a casino is generating profits of this magnitude it's critical to keep the casino humming and almost impossible to close it. Rick Scott – now the Governor of Florida – captured the enormous scale of this challenge with this simple two-sentence quote: “How many businesses do you know that want to cut their revenue in half? That's why the healthcare system won't change the healthcare system.” Americans have a right to be angry with how the U.S. healthcare system has been hijacked for revenue and profits. One analyst recently categorized it as “legalized extortion on a national scale.” In the same way that Michael Lewis exposed the complexity of high-speed trading on Wall Street, Casino Healthcare will expose the U.S. healthcare system for what it really is – a giant casino of epic proportions where the risks are both personal and nothing less than the health of an entire nation.

Author: James A. JohnsonPublisher: Jones & Bartlett LearningISBN: 1284111733Format: PDF, KindleDownload Now
The Second Edition of Comparative Health Systems: A Global Perspective offers new perspectives in health administration, public health, and public policy that address evidence-based approaches to health system improvement; systems thinking at the policy level; integrated information management; macro and micro innovation, and systems sustainability. Part I offers introduces foundational concepts including health and disease; and policy and economics. Two new chapters explore innovation and sustainability; and the role and contributions of non-governmental organizations. In Part II, the health systems of 19 countries are each examined in their own chapter, that carefully explores the country’s geography and culture, the history of its health system, followed by a detailed evaluation of cost, quality, access and innovation.